NPIMap

Organization Active NPI

CHI St. Luke's Health Baylor College of Medicine Medical Center

  • Rehabilitation Hospital Unit
  • Houston, TX
National Provider Identifier
1285678458
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
118 Issued in TX
Legal business name
CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER
Practice address
6720 Bertner St
Houston, TX 77030-2604
Phone
(832) 355-3862
Fax
(832) 355-7268
NPI assigned
Jun 16, 2006
Last updated
Aug 24, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. LUKE'S HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Youngblood
Title
President, Chief Executive Officer
Phone
(832) 355-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 118 TX Primary

Addresses

Primary practice location

6720 Bertner St
Houston, TX 77030-2604

Mailing address

6720 Bertner St
Houston, TX 77030-2604
Phone (832) 355-3862

Other names 1

  • Baylor St. Luke's Medical Center - Rehabilitation Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080915000112 TX Part A Provider - Hospital 0749191005 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285678458. Details of each certification follow.

Hospital certification: CCN 45T193

Legal name
CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Mar 26, 1945 in TX
Enrollment address
7200 Cambridge
11TH Floor
Houston, TX 77030-4202
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
St. Lukes Episcopal HospitalCCN 45T193 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 1995

National Provider Directory

National Provider Directory
Part of
CHI St Luke's Health Baylor St Luke's Medical Center

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mark Andrus McCollum Individual Corporate OfficerVice Chair Jan 1, 2021
Corporate DirectorDirector Jan 1, 2021
Brooks Harper McGee Individual Corporate DirectorBoard Member Jan 1, 2023
St. Lukes Health System Corporation Organization, Houston, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2002 65%
Operational/Managerial Control Jan 1, 2002 65%
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2013 65%
Bradley T Lembcke Individual Corporate OfficerDiv SVP Cmo Sep 19, 2023
Corporate DirectorDiv SVP Cmo Sep 19, 2023
Daniel Morissette Individual Corporate OfficerCfo Commonspirit Health Feb 1, 2019
OtherCfo Commonspirit Health Sep 1, 2023
Todd K Rosengart Individual Corporate DirectorBoard Member Jan 1, 2017
Jesus Gomez Individual Corporate OfficerMarket VP Operational Finance Feb 15, 2022
Operational/Managerial ControlMarket Cfo Feb 20, 2024
Terika Richardson Mbanu Individual Corporate DirectorBoard Member Jan 5, 2024
Paul Evan Klotman Individual Corporate DirectorBoard Member Jan 1, 2016
John F Glick Individual Corporate OfficerChair Jan 1, 2022
Corporate DirectorDirector, Chair Jan 1, 2022
Scott Silvas Individual Corporate DirectorBoard Member Jan 1, 2022
Baylor College of Medicine Organization, Houston, TX Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2014 35%
Operational/Managerial Control Jan 1, 2014 35%
Stuart Brightman Individual Corporate DirectorBoard Member Jan 1, 2022
Alan Semple Individual Corporate DirectorBoard Member Jul 1, 2020

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1285678458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 BERTNER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302604",
            "telephone_number": "832-355-3862",
            "fax_number": "832-355-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 BERTNER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302604",
            "telephone_number": "832-355-3862",
            "fax_number": "832-355-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE'S HEALTH SYSTEM",
        "enumeration_date": "2006-06-16",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "YOUNGBLOOD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT, CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "832-355-8100"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "TX",
            "license": "118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor St. Luke's Medical Center - Rehabilitation",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Baylor St. Luke's Medical Center - Rehabilitation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.